Organization
SUPREME CONFIDENCE HOME HEALTH TEAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODY M JORDAN (OWNER)
(314) 465-2930
Entity
Organization
Contact information
Practice address
10323 ROSS CIR, SAINT LOUIS, MO 63137-4130
(314) 465-2930
Mailing address
10323 ROSS CIR, SAINT LOUIS, MO 63137-4130
(314) 465-2930
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/04/2020
Last updated
10/21/2020
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